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SAMPLE
CONTRACT #3
AGREEMENT
I. DEFINITION OF
PARTIES. This document delineates the working relationship
between ABC, a medical transcription service based in
_______(town), ______(state), and, ZZZ hereinafter referred to
as "Client."
II. LENGTH OF
CONTRACT. The terms of this contract will be in force beginning
on the date signed by both parties with the following exception:
The prices for services rendered are guaranteed for one year
from the date this contract is signed by the Client. These
prices are subject to re-negotiation on each anniversary of the
signing of this contract. This contract may be terminated by
either party after giving 30 days' written notice of its intent
to do so.
III.
RESPONSIBILITIES OF EACH PARTY. ABC will work with the Client to
develop a set of templates in order to standardize report
formats. ABC will not be responsible for printing envelopes,
providing extra copies of a document, or including graphics in a
report. For standard delivery rates, transcribed documents will
be transmitted electronically within 48 hours of the time of
dictation. For priority delivery rates, transcribed documents
will be transmitted electronically as soon as possible, but no
later than 24 hours after the time of dictation. ABC will train
the Client in the proper procedures for using its dictation
equipment, as necessary. ABC will electronically archive all
transcribed reports for a period of six (6) months. ABC will
respect the confidentiality of the material it transcribes with
particular regard to the doctor-patient relationship. The Client
will be responsible for correctly entering the proper ID codes
and report codes into the dictation system. If the Client codes
a document as a priority item, he will be responsible for paying
the priority billing rate (see payment schedule) on the final
transcribed document. In order to ensure a high-quality recorded
dictation, thus reducing the amount of time spent on
corrections, the Client will, whenever possible, organize
his/her thoughts prior to commencing dictation; speak clearly
into the telephone; carefully spell out all names of patients,
doctors, new drugs, etc., and include all pertinent pieces of
identification (dates, patient numbers, addresses, etc.) in his
or her dictation. If the client is receiving documents via
electronic transmission, the Client will make any and all
corrections in-house.
IV. FEES AND
PAYMENT SCHEDULE. Upon signature of this contract, the client
will be pay ABC a nonrefundable $GGG setup fee to cover
programming costs. After 90 days of using ABC’s digital
dictation system, the client will receive a $GGG credit toward
billing. ABC will charge for transcription based on the length
of recorded dictation time, rounded to the nearest 1/100th of a
minute. The per-minute rate will be $XXX per minute of recorded
dictation time for Standard Delivery and $YYY per minute of
recorded dictation time for Priority Delivery. There will be a
service charge of $10.00 per document for the retrieval and.
delivery of any previously-transcribed document(s) which has
been lost by the Client. Accounts which are delinquent beyond
the 30-day payment deadline will be assessed a re-billing fee of
an additional $15 per month above the dictation charges. If the
Client is delinquent on payment 60 days or more, ABC reserves
the right to withhold transcribed material until payment is made
in full. Billing will be handled in the following manner: ABC
will bill the Client on the 1st day of each month. Invoices will
be mailed on the first day of the month. Terms are net 30 days.
The Client is entitled to a "5% Early-Bird discount"
if payment is received by 5 p.m. on the 10th day of the same
month as the invoice date. However, it is the Client’s
responsibility to determine the amount of the discount and
submit a check corresponding to the discounted amount.
V.
ERRORS AND OMISSIONS. Due to the many variables involved in the
process of converting dictation from voice to text, there will
be times when a patch of unclear dictation needs to be filled in
or certain terms may need to be corrected. In such instances
blank spaces will be left in the transcribed document. The
dictator is ultimately responsible for proofreading each
document. When information such as the patient's medical record
number, the date of a procedure, etc., has not been provided by
the dictator, it will be the Client's responsibility to manually
enter such data into the transcribed document. If the Client
wishes ABC to perform this task, there will be a $5.00 service
charge per document. If a dictator wishes to make extensive
editorial revisions to a document there will be a $15 service
charge for word processing. The final responsibility for all
text rests with the dictator. In the event of a malpractice
claim or lawsuit, ABC cannot and will not be held liable for any
errors and/or omissions.
"PHYSICIAN
IS RESPONSIBLE FOR REVIEW OF ALL TRANSCRIBED DOCUMENTS BEFORE
SIGNING."
_____________________,
Client
_____________________,
Contractor
______________________
Date
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